Leo Löwenzahn Pediatric Dentistry Practice, Bergisch Gladbach, Germany.
School of Dentistry, Department of Pediatric Dentistry, Medical University of Vienna, Vienna, Austria.
Clin Exp Dent Res. 2020 Feb;6(1):33-43. doi: 10.1002/cre2.245. Epub 2019 Sep 13.
The aim of this clinical follow-up study was to demonstrate the effects of different therapeutic strategies for hypomineralized teeth on patients' oral health. The treatment results were characterized by changes in the extent of hypersensitivity and plaque accumulation, as well as reductions in nutritional restrictions.
The impacts of therapy, including the use of fluoride varnish, fissure sealants, fillings, and stainless steel crowns, were evaluated in 78 children (mean age 8.5 years). We followed recommendations according to the Molar Incisor Hypomineralisation Treatment Need Index for customized treatment. The Quigley Hein Index, the Schiff Cold Air Sensitivity Scale, Wong-Baker Faces Scale, and dietary-limiting parameters were assessed before and after therapy for comparison.
Plaque accumulation and hypersensitivity decreased after completion of therapy. The improvements were greater for individual teeth (Quigley Hein Index for teeth treated with stainless steel crowns from 4.19 to 2.54) than for those of the whole dentition (high-severity category from 2.67 to 2.20). Problems with food intake were minimized via therapy, with the greatest influence observed for patients who were also in the high-severity category.
Therapy for affected teeth in children has positive effects on oral health and quality of life.
本临床随访研究旨在展示不同治疗策略对低矿化牙患者口腔健康的影响。治疗结果的特点是过敏和菌斑积累程度的变化，以及营养限制的减少。
评估了 78 名儿童（平均年龄 8.5 岁）的治疗效果，包括使用氟化物涂料、窝沟封闭剂、填充物和不锈钢冠。我们根据摩尔-切牙低矿化治疗需求指数进行了个性化治疗。治疗前后采用 Quigley-Hein 指数、 Schiff 冷敏感量表、Wong-Baker 面部量表和饮食限制参数进行评估。
治疗后菌斑积累和过敏减少。个别牙齿（不锈钢冠治疗后的牙齿，Quigley-Hein 指数从 4.19 降至 2.54）的改善大于整个牙列（严重程度高的牙齿，从 2.67 降至 2.20）。治疗最小化了进食问题，对于处于高严重程度类别的患者影响最大。
对儿童受影响牙齿的治疗对口腔健康和生活质量有积极影响。
